## **What is the HCPCS code J2704 for?**
The HCPCS code J2704 is a J code, and one of many that designate injected medication. What J2704 designates is the provision of a propofol injection, specifically every 10 mg dose of it.
Propofol is a sedative medication. Healthcare professionals using this will administer it before surgical procedures, certain diagnostic tests, and other procedures that require the patient to be deeply relaxed or unconscious. What this medication does is help maintain sedation and/or the effects of anesthesia. This should make certain procedures go smoothly.
Please note that this is an intravenous injection.
## **Documentation requirements for J2704**
As with any HCPCS code, it's important that you have sufficient documentation that meets your insurer's coding requirements, guidelines, related policy articles, and local coverage determinations (e.g., CMS, Medicare, Medicaid, etc.) before you file for a claim. Here are examples of what you'll need:
- The full name of the patient
- The full name and credentials of the healthcare professionals who handled the patient
- The name, address, and type of facility where this injection was administered
- Provider's order
- Anesthesia record
- Drug information (e.g., drug name, total dosage administered, route of administration, lot number, manufacturer, National Drug Code, etc.)
- The relevant information and necessary indications related to your patient's medical record and current condition to justify medical necessity (e.g., anesthesia induction, ICU sedation, procedural sedation, etc.)
## **Billing requirements for J2704**
Besides the documentation requirements above, please make sure to take note of or have the following:
- 10 mg = 1 unit of service (e.g., 50 mg = 5 units of service)
- Please pair this with anesthesia CPT codes or surgical/medical procedural codes appropriate to your patient and warrant the use of this injection. Remember that this HCPCS code is for the provision of the drug, not the administration of it
- Use the relevant ICD codes applicable to your patient
- Use either of two modifiers: JW if there's unused medication in a vial (wastage), or JZ if there's no unused medication.
- This is covered by Medicare Part B and commercial insurers when medically necessary
## **Other similar codes**
- **J2720** - Injection, protamine sulfate, per 10 mg
- **J0780** - Injection, prochlorperazine, up to 10 mg
- **J9268** - Injection, pentostatin, 10 mg
- **J9305** - Injection, pemetrexed, 10 mg
- **J1953** - Injection, levetiracetam, 10 mg
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